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Vermont rates for HCPCS L5970

All lower extremity prostheses, foot, external keel, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $147.91 / $181.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $186.21 / $239.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $134.90 / $190.55
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $257.04 / $323.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $162.18 / $190.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $245.47 / $676.08